| Doctor Name: | MS. ROBYN W ROARK |
| NPI Number: | 1053429357 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C |
| License Number: | 0000001924 |
| Business Practice Address: | 132 Poplar Grove Connector #b Suite 201 Boone, NC - 28607 |
| Business Phone Number: | 8287739165 |
| Business Fax Number: | |
| Mailing Address: | 809 Ragan Rd, TRADE |
| State: | TN |
| Postal Code: | 376916114 |
| Phone Number: | 4237274795 |
| Fax Number: | |
| NPI Enumeration Date: | 08/27/2006 |
| NPI Last Update Date: | 12/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0000001924 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |